Reproduced in: http://www.szhgh.com/Article/opinion/xuezhe/2020-01-01/219615.html
Civil Hospital Medical Records recently killed on the Internet caused a lot of attention, various articles over the place, in all the articles I have read, the "China News Weekly" of Peking University People's Hospital, director of the Heart Institute, renowned cardiologist Hu Dayi interview with Professor put in place the most, if our entire health care system, all doctors can do as Professor Hu said, how can the medical dispute? how can hurt doctors kill doctors?
Professor Hu talked about the issue the following eighteen area is very worthy of our deep reflection:
First, in the early work of medical equipment is the most simple, the most backward, the drug is very scarce, but the model health care system is the most advanced. Now do everything possible to engage in medical grade, when you have the best medical grade. The entire health care system, from personnel to equipment, medical grade reasonable. Clear device configuration, allocation of personnel is also clear. He recalls, felt a great sense of happiness and fulfillment. At that time this system too advanced! Now these has become our pursuit of the future. At that time I did not have any medicine, but very harmonious between doctors and patients. Patients are grateful grateful, however, where there will be doctor-patient conflicts ah!
Second, now the basic properties of medical mistake. Medical "can not change the three basic" things have changed out: First, the value of the medical system can not be changed, the work of the health of patients first, this is a problem of values, we have distorted; second, the purpose of medicine can not be changed, It must be prevention; third, medical social responsibility can not be changed. Medical service is not running big hospitals, in order to allow the cadres, the rich can be optimistic about the disease; health care is people who can afford to seek care, to achieve equitable access. And we just fundamentally changed. So the problem is not only health care system.
Third, the root causes of the conflict between doctors and patients from the hospital the last three decades the development of the market has led many hospitals to medical resources giant monopoly. The hospital is relying on money from the patient to the increase in operating income, to buy equipment, build a house, bonuses, this is an open secret. I hope that doctors can get a dignified income. Gray income is certainly no dignity, by expanding the scale of the disorder to obtain bonus is no dignity, issued by SCI article for status is no dignity, their own doctor is a doctor, the doctor should make more income will be higher doctor.
Fourth, after the medical services become fully business model, the conflict between doctors and patients will become increasingly fierce. From the point of view of our entire health care system, only the technology, there is no service. This technology model ultimately drive the few hospitals cornering medical resources.
Fifth, large hospitals kidnapped other hospitals, all hospitals have to rush on this system, all doctors are a victim or a victim. Doctors should stand up, not blame society, but to reflect on the shortcomings of the system, this system is the kidnapping of the doctor demonized. Now the hospital every day trying to make money, hospitals and patients but not the doctor-patient relationship business relationships, which changes the three fundamental attributes of medical, health care alienated.
Sixth, in this great situation, creates a problem of excessive medical treatment, after which the entire health care market, in addition to excessive medical treatment, doctors can not go to help patients make changes in behavior - to tell other people how to quit smoking, how movement, this is no fee. Some even president, said: "Professor Hu, the patient in front of you so that prevention, rehabilitation behind, how can we make money?"
Seventh, and finally the formation of excessive medical ills biomedical model. We focus only on the intervention of biotechnology, do not pay attention, development and psychosocial factors of the disease, will inevitably move toward excessive superstition of biotechnology, worship. Technical worship, scientism become ills of modern medicine, medical deficiencies itself has become a huge push overtreatment hand.
Eighth, what common complaint of patients is it? Each patient treatment time is only three to five minutes, from the clinic to the operating table, the whole process is like machine production lines, is a man thing entirely the production line, without emotion, and the doctor did not have time to communicate, if this system does not change, you see, the more intense contradiction.
Ninth, will use advanced technology to more and more people, their skills will be more superb. But the doctors will forget three return: the return humanities, clinical regression, regression basic skills. Medicine is to see who is the sick people, not disease. Medical Humanities was gone, when he was a medical technology to do live. We no longer pay attention to clinical. Enough to spend sleepless nights in bed patient enough time to learn to see a doctor. Doctors basic skills in many aspects, is the first inquiry, inquiry is the basis of a doctor, not only asking about her condition, but the emotional exchanges, so that patients feel who you are trustworthy and reliable.
Tenth, we have always stressed that doctors help patients and treatment, but in turn, the patient is also a doctor to serve. How did you learn of medicine? Each patient is your learning object. How little you may not have mistaken it? Treatment will produce some complications, if the parties do not hold Thanksgiving ideas, how to deal with good? My mother said to me, you see a doctor, not a boon to patients.
Eleventh, I've never felt superior. Medical services itself, but it is precisely the service we have lost. Medical doctor is to love, I do not think doctors need complained called tired, when you return to the role of service providers, you are Zaikuzailei nothing, at the same time, the resulting compensation is deserved . In this environment, I can at least through their own service, so that my patient is not excessive medical treatment, which is very great happiness. Doctors do not speak for the patient and consider you as a doctor doing?
Twelfth, we must be convinced that the vast majority of patients are patience and rational. Medical kill such a serious incident, after all, have a chance. To some extent it also depends on social status occurred in some patients, personality, they may be violent, or cornered, fight it. This can not but say that this is both doctors and patients frustration and sorrow.
XIII, doctors and patients in both groups from the same root, faced with different aspects of the same problem, if the two sides more and more opposition, killing doctors across different social situation, a survey, many people still agree with the doctor the mood is even more intense. I strongly disagree "medical trouble" appears the word, which in itself is a sharpened antagonism words, but very strict. After such words are used frequently, not reconciliation, but in the doctor-patient conflicts intensified.
XIV, individuals can not be treated as patients and the public to understand the population. If extreme cases developed into two opposing groups, doctors and patients can only make the conflict more and more intense. The relationship between doctors and patients has always been no fundamental conflict. Patients suffering requirements resolve to find a doctor, I believe the doctor, the doctor's duty is to save lives.
15, quick to strike hard "medical trouble", police entered the hospital, not only did not see things calm, and intensified. This is a process of alienation of the health care system appear, no matter how long the process of experience, ultimately to be addressed, but also the health care reform from the top-level design to be solved.
XVI, in the first three years I went through a very good doctor's experience, at that time a lot of things still classic. Health care reform to emphasize inheritance, no matter how much you go to training general practitioners, if you do not change the system, they will never go on all these years health care system has changed the way people view and mentality.
17 of Professor Hu mother believed that the patient is god, all doctors are reflected in the sense of the value of your learning is also carried out on a patient to patient service. She prescription, never open those checks no use, she principle is valid, under the premise of effectively cheaper, she did not want unworthy own conscience. See a doctor, the first thing he does not need to think what will and will not be open to patients unnecessary things.
XVIII, Professor Hu mother with particular emphasis on the follow-up of patients, patient follow-up must be the doctor's professional habits, a doctor can not optimistic about the disease once, so as to have a good doctor-patient relationship. See a doctor is a process that must be followed up. Doctors know what immature, mature doctor did not know what to do. I dare patient said, "You do not stand," because this is my follow-up results.
The above is an interview with Professor Hu refined summary of the conversation, which gave us a lot of inspiration, I think the main inspiration is nothing more than three points, one medical market to the entire health care system and the medical industry to bring alienation, and second is a medical service industry, we can not lose this fundamental service. Third, two groups of doctors and patients is the same root of a disease is to find a doctor to save a life-saving for the patient. More than three fundamental problems to solve, return to the nature of the doctor-patient relationship, the doctor's service mentality to heal the sick, get treatment because patients and doctors Thanksgiving, this is the fundamental question as to the medical market is both institutional problems, which we treat attitude of ordinary people, is why the issue of medical service people, if you do not solve the problem of medical services Why do people, not to mention the doctor-patient relationship will be more intensified, and the whole social conflicts will be more intensified.